SUBFERTILE WOMEN; FREQUENCY OF FACTORS LEADING TO TUBAL BLOCKAGE EVALUATED BY LAPAROSCOPY

Rahat Akhtar, Nadi Taj, Sumera Mehnaz, Aamir Furqan, Mehnaz Khakwani, Hajira Masood
In: THE PROFESSIONAL MEDICAL JOURNAL · 2017 · vol. 24(04) , pp. 507–510 · doi:10.17957/tpmj/17.3607 · W2606431500
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Laparoscopy in 280 subfertile women revealed tubal blockage in 18.2%, with Neisseria Gonorrhea, pelvic inflammatory disease, Chlamydia trachomatis, and endometriosis being the most common causes.

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This cross-sectional study evaluated 280 married primary subfertile women aged 20–39 who underwent laparoscopy at Nishter Hospital Multan over a six-month period, with the aim of determining how frequently different factors lead to tubal blockage. Laparoscopic findings showed tubal blockage in 51 women (18.2%), with the most common identified causes being Neisseria gonorrhea (33.4%), pelvic inflammatory disease (27.4%), Chlamydia trachomatis (21.6%), and endometriosis (17.6% among those attributed causes). The paper’s main limitation is that its design and short, single-center timeframe (six months) constrain generalizability beyond the studied setting and period. Relevance to endometriosis: the study explicitly identifies endometriosis as one of the causes associated with laparoscopically diagnosed tubal blockage in subfertile women.

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Abstract

Objectives: To determine the frequency of factors leading to tubal blockagein subfertile women evaluated by laparoscopy. Study Design: Cross-sectional study. Period:Six months from 1 February 2015 to 31 July 2015. Setting: Department of Obstetrics &Gynaecology of Nishter Hospital Multan. Methods: Two hundred and eighty (280) marriedprimary subfertile females presenting with primary and secondary subfertility of age more than20 and less than 40 years were included. Laparoscopy was done in every patient. Data wasanalyzed by SPSS 19. Descriptive statistics was used to calculate mean+SD for continuousvariables. Frequencies and percentages was calculated for qualitative variables. P value < 0.05was consider significant. Results: Mean age of the patients was 30.52±5.72 years. Out of 280patients, 175 (62.5%) were Nulliparous, 77 (27.5%) were of parity status 1 and 28 (10%) wereof parity status 2. Intraoperative findings of laparoscopy revealed tubal blockage in 51 (18.2%)women. The most common cause of tubal blockage was Neisseria Gonorrhea diagnosed in 17(33.4%) patients, Pelvic Inflammatory disease was diagnosed in 14 (27.4%) patients, ChlamydiaTrachomatis in 17 (21.6%) patients and Endometriosis in 9 (17.6%) patients. Conclusion: Theincidence of tubal blockage in sub fertile women is 18.2%. Neisseria Gonorrhea infection, PelvicInflammatory disease, Chlamydia trachomatis infection and endometriosis are common factorsresponsible for tubal blockage.
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SUBFERTILE WOMEN; FREQUENCY OF FACTORS LEADING TO TUBAL BLOCKAGE EVALUATED BY LAPAROSCOPY. DOI: https://doi.org/10.29309/TPMJ/2017.24.04.1453Keywords: subfertility,, Laparoscopy,, Tubal blockage,, Hysterosaplingography.Abstract Objectives: To determine the frequency of factors leading to tubal blockage in subfertile women evaluated by laparoscopy. Study Design: Cross-sectional study. Period: Six months from 1 February 2015 to 31 July 2015. Setting: Department of Obstetrics & Gynaecology of Nishter Hospital Multan. Methods: Two hundred and eighty (280) married primary subfertile females presenting with primary and secondary subfertility of age more than 20 and less than 40 years were included. Laparoscopy was done in every patient. Data was analyzed by SPSS 19. Descriptive statistics was used to calculate mean+SD for continuous variables. Frequencies and percentages was calculated for qualitative variables. P value < 0.05 was consider significant. Results: Mean age of the patients was 30.52±5.72 years. Out of 280 patients, 175 (62.5%) were Nulliparous, 77 (27.5%) were of parity status 1 and 28 (10%) were of parity status 2. Intraoperative findings of laparoscopy revealed tubal blockage in 51 (18.2%) women. The most common cause of tubal blockage was Neisseria Gonorrhea diagnosed in 17 (33.4%) patients, Pelvic Inflammatory disease was diagnosed in 14 (27.4%) patients, Chlamydia Trachomatis in 17 (21.6%) patients and Endometriosis in 9 (17.6%) patients. Conclusion: The incidence of tubal blockage in sub fertile women is 18.2%. Neisseria Gonorrhea infection, Pelvic Inflammatory disease, Chlamydia trachomatis infection and endometriosis are common factors responsible for tubal blockage.

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